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Physician ID:
328
Hours:
Monday – Friday 8:30 AM to 5 PM
Hours have been provided by the preceptor. Hours are subject to change at the preceptor’s discretion, but the minimum total hours will remain approximately the same.
Location: Houston
This combined inpatient and outpatient US clinical experience will take place in Houston approximately 65 miles north of downtown.
Inpatient/Outpatient US Clinical Experience in Critical Care/Pulmonology in Houston
Specialties: Pulmonology, Critical Care, Internal Medicine
Location: Houston
Price:
Hospital Letterhead: No
Faculty Appointment: Yes - Faculty Member of Family Medicine Residency Program at Sam Houston State University
Information about this clinical experience:
You will be under the supervision of a physician board-certified in internal medicine and pulmonary / critical care. This physician holds a hospital appointment within the HCA Houston Healthcare System as well as other hospitals in the greater Houston area. The preceptor is an experienced educator and teaches family medicine residents at Sam Houston State University.
During this clinical experience, you will split your time between the inpatient and outpatient settings. In the hospital, you will take part in daily rounds within the intensive care unit. A wide range of patients with life-threatening conditions will be seen. The emphasis will be on learning how to stabilize, evaluate, and treat these critically ill patients while working within a multidisciplinary team. Rotators will have the opportunity to observe bronchoscopy, thoracentesis, and other procedures. To prepare for the critical care part of this clinical experience, we recommend using the following resources:
Medical Student’s Guide to the Intensive Care Unit
In the clinic, you will encounter the typical conditions seen in an outpatient pulmonology practice, including obstructive sleep apnea, COPD, asthma, interstitial lung disease, and lung cancer. Students will be able to observe how PFTs, home sleep studies, and walk tests are performed and interpreted. We recommend that you read the following articles to help you prepare for the clinical experience:
A Comprehensive Review of Obstructive Sleep Apnea
An Update on Obstructive Sleep Apnea Syndrome—A Literature Review
Management of Chronic Obstructive Pulmonary Disease: A Review Focusing on Exacerbations
Going Back to the Basics: An Asthma Review
Interstitial Lung Disease: A Review
The practice has an active research focus and is a center for clinical trials. Currently, 3-4 trials are underway involving patients with obstructive sleep apnea, COPD, and lung cancer. Rotators can observe how the preceptor’s research team screens patients for enrollment, performs follow-ups, and monitors progress. As clinical trials are often done in hospitals and outpatient practices associated with residency programs, this can be an excellent opportunity to gain insight into this important area.
During your experience, you will learn the following U.S. medical practices under the preceptor’s supervision:
Taking patient histories under supervision.
Performing physical exams under the physician's supervision.
Presenting patients.
Interpreting pulmonary function tests and thoracic imaging.
Researching the literature to answer clinical questions at the point of care.
The activities above will mostly take place in the outpatient setting. As a result of hospital policies, inpatient activities will be more observational.
Who should consider this rotation:
International medical graduates (IMGs) and students seeking US clinical experience in internal medicine. IMGs seeking careers in internal medicine, pulmonology, and critical care will also find this rotation particularly useful.
How to obtain a letter of recommendation:
The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft.
During the rotation:
Our team will be checking in periodically with you to ensure that you are having an optimal experience. We encourage you to contact us if you have any questions during the rotation.
Testimonials
About the preceptor:
Dr. X fosters medical rotator autonomy. The doctor stands out for an ability to balance high-level clinical supervision with the trust placed in rotators. From the beginning, Dr. X didn't just treat me as an observer, but like a future colleague, involving me in the "behind-the-scenes" of medicine, such as billing-related discussions and Hospice IDT meetings. One of the doctor's greatest strengths is the approach to complex
patient management. Dr. X modeled how to handle patients with multiple comorbidities, including transplant recipients and amputees, without losing the human element of primary care. Dr. X was incredibly encouraging, and seeing the doctor's confidence in my clinical skills grow over the four weeks was a huge boost to my professional morale.
About the rotation:
Comprehensive clinical scope, combining inpatient, outpatient, hospice, and televisits, specially focusing on the longitudinal management of complex cases...Additionally, I was able to consolidate my knowledge on managing acute complications, such as Pseudomonas and Klebsiella cellulitis, and following sepsis protocols for infected pressure ulcers. Additionally, this rotation allows for time with physical, occupational, and speech therapists. It helped me understand the team-based approach to patient rehabilitation. At the clinic, this experience allowed me hands-on exposure to procedures like Dexcom placements, IM injections, and nebulizer preparations. Also, participating in the IDT meetings showed me exactly how a PCP coordinates care with therapists and specialists to manage hospice patients. The rotation is fast-paced, which was actually a strength as it forced me to refine my workflow and EMR documentation efficiency.
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